24-Hour Activity and Cardiometabolic Health in Chinese American Women with a History of Gestational Diabetes
Brief description of study
Chinese Americans, one of the largest and fastest-growing minority groups in the US, have an increased risk for type 2 diabetes (T2D) and a substantial burden related to T2D. Moreover, Chinese American women experience high rates of gestational diabetes (GD). However, little is known about the 24-hour activity (physical activity, sedentary behavior, sleep) and cardiometabolic health of Chinese American women with a history of GD. The objectives of this mixed methods study are to characterize the 24-hour activity and cardiometabolic risk profile and to describe the multi-contextual barriers and facilitators to meeting physical activity and sleep guidelines in this high-risk population. This pilot feasibility study using a convergent mixed methods design will collect accelerometer-based data, surveys, biomarker data, and conduct in-depth interviews with a sample of 56 Chinese American women with a history of GD in the past 0.5 - 5 years. Participants (n=56) will be recruited from NYU Langone Health System, online via WeChat (a Chinese social media app), and in person in Chinese community centers. Accelerometers (Actigraph GT9X+) will be used to collect 7 consecutive days of 24-hour activity. Validated instruments (online) will be used to assess psychological, social, cultural, and environmental characteristics. Biomarker data (glucose regulation and lipid profile) collection and in-depth interviews will be conducted in person. Descriptive analysis will be used to describe the sample, their 24-hour activity pattern, and their cardiometabolic risk profile. Quantitative and qualitative data will be integrated in the final analytic stage to identify modifiable factors for meeting physical activity and sleep guidelines. In addition,
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